Implementation of the first Spanish population-based register for multiple-injury cases in Navarre

Belzunegui Otano T , Fortún Moral M, Reyero Díez D, Teijeira Álvarez R

To describe the technical features of the first population-based register for multiple-injury

cases to be developed in Spain. Description of the system architecture and technical

features of this population-based register, including the variables in the database, the

case-finding strategy used, data inputting and maintenance, and quality control.

Between January 1, 2010 and December 31, 2011, we found 243 cases. The system was

supervised by a database administrator and allowed 97 users in 7 different departments

to enter data. The level of reporting of 63 variables was 90%. Mortality was 27%.

Response times (emergency call to hospital arrival and hospital arrival to first computed

tomography scan or first key intervention) were similar to those recorded in other

European registers. The first Utstein-style register for multiple-injuries in Spain is now

being used in Navarre. The system architecture allows us to collect information

prospectively and retrospectively from all who treat multiple-injury patients no matter

their position on the staff of various hospital departments. This register has helped us

determine the characteristics of multiple-injury patients and the quality of care they

receive. We have been able to compare our setting with others and have provided a

source of data for researchers in the Navarre health service.

Belzunegui Otano T, Fortún Moral M, Reyero Díez D, Teijeira Álvarez R